Lower Abdominal Pain
Also written as PID.
Lower abdominal pain (PID) syndrome: a woman with lower abdominal pain and cervical motion tenderness is given a combination covering gonorrhoea, chlamydia and anaerobes (ceftriaxone, doxycycline, metronidazole).
What our notes say
- Lower abdominal pain (PID) syndrome: a woman with lower abdominal pain and cervical motion tenderness is given a combination covering gonorrhoea, chlamydia and anaerobes (ceftriaxone, doxycycline, metronidazole). (Year 4 Gynaecology CAT 1 (MBOG 4212): 2 July 2021)
- It causes lower abdominal pain, discharge, fever and painful intercourse, and the late effects are infertility, ectopic pregnancy and chronic pelvic pain. (Year 6 Gynaecology CAT 1 (MBOG 6511): 13 December 2019, 4 short answers and 16 M)
- Patient W, 23, severe lower abdominal pain and vaginal bleeding for a day, 3 weeks late, very pale with abdominal distension, rebound tenderness and guarding (Reproductive Health 1 End of Trimester CAT: ectopic pregnancy, ANC and abortion )
- Patient X, amenorrhoea 7 weeks, lower abdominal pain, profuse vaginal bleeding, pallor, no abdominal mass, suprapubic tenderness, open cervix (Reproductive Health 1 End of Trimester CAT: ectopic pregnancy, ANC and abortion )
- Mrs R, para 3+0 G4 at 38 weeks, liquor draining, lower abdominal pain, fundal content a hard ballotable mass, longitudinal lie, FHR 134 regular, presenting part firm and engaged (Reproductive Health End of Trimester 2 CAT (MBOG 4223): labour and cord prolapse)
- Wairimu, 4 years, has a 2-day history of lower abdominal pain, painful micturition and a low-grade fever. (Paediatrics main exam (MBPE 4300): 24 January 2022, Paper One, 100 MCQs, 2 short)
Study material on Lower Abdominal Pain
Practice questions on Lower Abdominal Pain
A 30-year-old woman presents with lower abdominal pain and positive pregnancy test. Ultrasound reveals no intrauterine pregnancy but shows a mass in the fallopian tube. Which condition is most likely?
- Hydatidiform mole
- Ectopic pregnancy
- Endometrial carcinoma
- Tubal aneuploidy
- Placenta previa ✅ Answer: B
Answer: A. A positive pregnancy test with no intrauterine pregnancy and a mass in the fallopian tube is diagnostic of an ectopic pregnancy.
A 30-year-old woman presents with lower abdominal pain and positive pregnancy test. Ultrasound reveals no intrauterine pregnancy but shows a mass in the fallopian tube. Which condition is most likely? ---
- Hydatidiform mole
- Ectopic pregnancy
- Endometrial carcinoma
- Tubal aneuploidy
- Placenta previa
Answer: B.